Betty Ann Nursing Center

In the surveyor’s words

From the most serious findings on record at Betty Ann Nursing Center, in the surveyor’s own words.

• Immediate jeopardy, patternF600May 12, 2025

  On 05/08/25, an Immediate Jeopardy (IJ) was determined to exist related to the facility's failure to protect residents from abuse. The failure resulted in nine physical assaults by Res #2 on eight other residents between 01/03/25 and 05/01/25. On 05/08/25 at 5:30 p.m., the Oklahoma State Department of Health was notified and verified the existence of an IJ situation. On 05/08/25 at 6:04 p.m., the administrator and DON were notified of the IJ situation and provided the IJ template. On 05/09/25 at 9:06 p.m., an acceptable plan of removal was approved by the Oklahoma State Department of Health. The plan of removal, read in part, 1. Resident # [2] is currently in inpatient psychiatric facility, [name withheld]. […]

• Immediate jeopardy, isolatedF622Sep 20, 2022

  On 09/15/22 at 11:45 a.m., an Immediate Jeopardy (IJ) situation was verified with the Oklahoma State Department of Health (OSDH) related to a resident, who had a court ordered return from an inpatient psychiatric hospital signed by an administrative law judge, experienced a facility-initiated discharge into the care of a homeless family member with a known recent psychiatric hospitalization and to which the facility continually documented was not able to care for the resident's needs. The clinical record documented the facility-initiated discharge was requested by the resident and their family member and occurred less than 24 hours after the resident's return to the facility. At 1:15 p.m., the administrator was notified of the IJ situation and was asked to provide a plan of removal. […]

• Actual harm, isolatedF660Sep 20, 2022

  Based on interview and record review, the facility failed to ensure a resident was discharged to the community with necessary support and services for one (#1) of three sampled residents. Resident #1 was discharged to a hotel with their POA without setting up community services and resources. Resident #1 was taken by ambulance three times; once for low blood sugar, once for a fall, and once for a high blood sugar; after being improperly discharged into the community. The fall resulted in the resident sustaining head trauma and being treated at the hospital. The facility census and condition identified 51 residents. […]

• No harm, potential for more than minimal, patternF577Oct 3, 2024

  Based on observation and interview, the facility failed to ensure survey results were posted and accessible for residents and visitors. The DON identified 47 residents who resided in the facility. Findings: An undated Survey Results policy, read in parts, .survey results are in the front lobby of the facility. The location of the facility survey results is identified with a sign posted on the cabinet. Any resident and or visitor will have access to the results if desired . On 10/01/24 at 2:57 p.m., four residents in the resident council meeting stated they did not know where survey results were located. On 10/01/24 at 3:15 p.m., survey results, or signage on where survey results were located, was not observed in the facility. […]

• No harm, potential for more than minimal, patternF655Oct 3, 2024

  Based on record review and interview, the facility failed to ensure baseline care plans were completed for one (#150) and failed to ensure residents and/or resident representatives were provided a summary of the baseline care plan for one (#29) of 14 sampled residents whose care plans were reviewed. The DON identified 47 residents who resided in the facility. Findings: The Care Plans-Baseline policy, dated December 2016, read in part, .A baseline plan of care to meet the resident's immediate needs shall be developed for each resident within forty-eight (48) hours of admission .The resident and their representative will be provided a summary of the baseline care plan . 1. […]